Volunteer Application

Personal Information Page 1 of 4
Name *
Sex *	Male Female
Date Of Birth *
Family Accompany	Please specify passport number and date of birth for any one accompanying you.
Present address *
Present Phone *
Permanent Phonenumber
Permanent address
Email Address *
Expected Date Of Arrival *
Length Of Placement *
Small Passport Sized Photo(No more the 100KB please)

Professional Information Page 2 of 4
CV(In MS Word format or PDF) *
Professional Qualifications *
Professional Skills	Please give full details of your professional skills. (ie � Procedures you can complete, xxxxxxxx)

Your Faith Page 3 of 4
Church affiliation
Any experience you have in leading small group bible studies, and/or discipling/mentoring other believers.
Reason for seeking to volunteer in a Christian hospital in India?
How would you explain your relationship with Christ to someone from a non-Christian background?

Other Information Page 4 of 4
Previous experience (if any) overseas
Condition of health. (Please include details of any medication you are currently taking)
How are you planning to cover the cost of your time in India?	EHA is unable to provide financial support (honourarium or salary). Therefore all volunteers are required to cover living expenses.
Hobbies and recreation(e.g musical instruments)
Do you speak any Indian languages?
Any other information?
What are your expectations for working for EHA? (Please be as specific as possible, include personal and professional expectations as well as expectations regarding living arrangements, leave etc.)
Reference Personal: Name *
Reference Personal: Email *
Reference Professional: Name *
Reference Professional: Email *